A client has been admitted to the med/surg floor. Upon assessment the nurse identifies a respiratory rate of 15 breaths per minute. The nurse would document this as what type of respirations?
An older adult client presents with severe, cramping-type le…
An older adult client presents with severe, cramping-type leg pain when walking, which is relieved by rest. The client also has cool, pale feet when elevated and capillary refill in the toes of 4 to 6 seconds. Which of the following would the RN suspect?
The nurse is teaching the client about how lifestyle can pla…
The nurse is teaching the client about how lifestyle can play a part in developing risk factors for stroke. Which of the following can greatly reduce a client’s risk for stroke? (Select all that apply)
A client is admitted to the hospital with chest pain. The pa…
A client is admitted to the hospital with chest pain. The patient does not answer questions appropriately and says, “Speak up, I can’t hear you”. The nurse suspects a hearing loss in one or both ears. The nurse tests for hearing by using the
The nurse is performing an assessment on a client. What is t…
The nurse is performing an assessment on a client. What is the main reason the RN will auscultate the abdomen before palpating?
The nurse has assessed the following vital signs. Which vita…
The nurse has assessed the following vital signs. Which vital signs would the nurse document as abnormal? (Select all that apply)
A nurse notices that a patient seems calm and peaceful despi…
A nurse notices that a patient seems calm and peaceful despite an assessment that the patient’s injuries might be causing severe pain. The patient tells the nurse that using yoga and meditation lessens the perceptions of pain to tolerable levels. Which other alternative intervention should the nurse suggest to help relax this patient for pain relief?
Which term refers to a normal adult respiratory rate?
Which term refers to a normal adult respiratory rate?
A 45-year-old patient reports severe abdominal pain rated at…
A 45-year-old patient reports severe abdominal pain rated at 8 out of 10 on the pain scale. The patient is restless, sweating, and has a facial grimace. You also note guarding of the abdomen upon palpation. Which of the following is the most important initial nursing action?
You are caring for a young adult patient with an intracrania…
You are caring for a young adult patient with an intracranial hemorrhage secondary to a closed head injury. During your assessment, you notice that the patient’s respirations follow a cycle progressively increasing in depth, then progressively decreasing in depth, followed by a period of apnea. Which of the following appropriately describes this respiratory pattern?